创伤性呼吸窘迫综合征病人呼吸道的特点及护理对策  

Characteristic of the Respiratory Tract of Patients with Teaumatic ARDS and its Nursing Care

作　　者：肖兵[1] 颜敏 

机构地区：[1]广州军区广州总医院,510010

出　　处：《护士进修杂志》1997年第6期31-32,共2页Journal of Nurses Training

摘　　要：通过对38例创伤性呼吸窘迫综合征（ARDS）病人的气道护理．我们体会应做好五个环节：1．气道湿化：这是防止疾波于结成俪，促进排匪的必要措施；2．气道吸痰：做到一慢二快三忌．即退出吸疾管慢；进管和整个吸痰过程宜快．忌在低氧饱和度和心率、心律严重异常情况下吸痰，忌反复提插吸痰，忌负压过大吸痰；3．警惕单肺通气致严重低氧血症；4．气道感染的预防：清洗湿出瓶和呼吸机各管道，重视口腔咽部的清洁．痰液细菌量的监测追踪，如何取样；5呼吸机训练：采用改变呼吸模式，逐步训练．循序渐进的方法。In the present report .we describe our experience in the respiratory tract care of 38 patients with adult respiratory distress syndrome (ARDS). To cope with the particular setting in the patients due to trauma and the treatment of the disease,five measurements applied in these cases appeared effective: 1. moist branchi to prevent the dry-up in the discharge; 2.aspiration was carried out in a manner that insertation and aspiration should be quickly done but not the retreat of the tube in which it should be quite slow and tender .this should not be conducted when SaTO2 in the patient was low .se vere heart rate. The tube should not be handled in a piston-style nor operated under the deep vacuum pressure. 3. be aware of severe hypohea caused by single side breath. 4. secondary infection should be emphasized on with maintaining clean of the air system of the artificial respirator .of oral ave and moni toring with regularity the bacteria count in the discharge. 5.artificial respirator should be operated by skilled personnel.which may be achieved through the training.

关 键 词：创伤性 呼吸窘迫综合征 呼吸道护理 护理 

分 类 号：R473.6[医药卫生—护理学]